Individual provider Active NPI

Mohammad Zaid Aljabi, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1154949261
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003246 Issued in GA
Practice address
5505 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1713
Phone
(404) 257-0814
Fax
(404) 843-8521
NPI assigned
Jul 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003246 GA Primary

Addresses

Primary practice location

5505 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1713

Mailing address

3781 Elmside Village LN Apt J
Norcross, GA 30092-4889
Phone (205) 475-4958

Other identifiers 1

IdentifierTypeStateIssuer
OPT003246OtherGAGEORGIA BOARD OF OPTOMETRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPT003246GAMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1154949261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 ELMSIDE VILLAGE LN APT J",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924889",
            "telephone_number": "205-475-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421713",
            "telephone_number": "404-257-0814",
            "fax_number": "404-843-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALJABI",
        "first_name": "MOHAMMAD",
        "middle_name": "ZAID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA  BOARD OF OPTOMETRY",
            "identifier": "OPT003246",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.